Great for medical students, these printable flash cards cover peripheral arterial disease.
There are 11 flash cards in this set (2 pages to print.)
1. Print out the cards.
2. Cut along the dashed lines.
3. Fold along the solid lines.
Sample flash cards in this set:
|Description of Peripheral Arterial Disease (PAD)
|A systemic disease which leads to impedance of arterial blood flow to the lower extremities. They upper extremities can be involved, but this is not usual
|Risk Factors for PAD
|Advancing age Elevated serum lipids Hypertension Cigarette Smoking Diabetes Mellitus Obesity Family Hx
|Assessment Findings in PAD
|Intermittent Claudication (earliest manifestation) Pain, ache, cramp, or tired feeling in extremity, foot, hip, thigh, or buttocks with exercise Lack of hair growth on lower legs Thickened toenails Pain at rest (severe disease) Diminished or absent pulse distal to the lesion Bruits in abdominal, femoral, or popliteal areas Pale, cool extremities Shiny, hairless skin Dependent rubor (severe disease) Prolonged cap refill
|Diagnostic Studies for PAD
|Doppler and US Segmental BP measurements; expect reduction in pressure Ankle-brachial Index: </= 0.9 indicative of disease Arteriography
|Nonpharmacologic Management of PAD
|Exercise (stop when hurts but restart when relieved) Prophylactic foot care Percutaneous transluminal angioplasty Bypass Surgery Pt Education
|Pharmacologic Management of PAD
|Anti-Platelets Blood Viscosity Reducer
|Anti-Platelets in PAD
|Inhibit platelet aggregation and produce mild vasodilation Monitor for hypotension, bleeding Antiplatelet therapy used to prevent ischemic events Interacts with grapefruit juice
|Blood Viscosity Reducers in PAD
|Mechanism unclear but thought to reduce blood viscosity Monitor for bleeding and hypotention
|Special Considerations for Management of PAD
|Use both anti-platelet and blood viscosity reducer to prevent claudication AVOID Beta Blockers: May worsen claudication Nitrates have not proven helpful
|Consultation/Referral for PAD
|Refer to Vascualr surgeon for persistent symptoms or moderate to severe ischemia Refer if exercise and meds have not helped in 3-6 months Refer non-healing ulcers
|Follow-Up for PAD
|As dictated by pt condition